Wesley L Vincent in Pomfret Center - Clinical

Wesley L Vincent - NPI 1396772232

Wesley L Vincent is a Clinical in Pomfret Center, Connecticut. Wesley L Vincent practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wesley L Vincent is 1396772232. The last update date is 2012-10-26.

Wesley L Vincent's current location address is 206 Boston Tpke, Pomfret Center, Connecticut. You can contact this provider via phone number 8609742994 and fax number 8609742994. The mailing address for Wesley L Vincent is 206 Boston Tpke, Pomfret Center, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley L Vincent
Address 206 Boston Tpke, Pomfret Center, Connecticut
Phone Number 8609742994
Fax Number 8609742994
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1396772232
Provider Enumeration Date 2006-06-27
Last Updated Date 2012-10-26

Provider Mailing Address Detail

Address 206 Boston Tpke
City Pomfret Center
State Connecticut (CT)
Post Code 62599514
Phone Number 8609742994
Fax Number 8609742994

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1556
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4134459 CT --

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FAQs about Wesley L Vincent

What is the unique identification code assigned to Wesley L Vincent by the Centers for Medicare & Medicaid Services?

The Wesley L Vincent has been issued the NPI (National Provider Identifier) 1396772232. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Wesley L Vincent?

The Wesley L Vincent is situated at 206 Boston Tpke, in the city of Pomfret Center, state of CT, with the zip code 62599514.

What is Wesley L Vincent's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wesley L Vincent is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did Wesley L Vincent receive its 1396772232 assignment from the Centers for Medicare & Medicaid Services?

The Wesley L Vincent was assigned its 1396772232 on 2006-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Wesley L Vincent, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Wesley L Vincent, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-26.

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